Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LETTRE, MATTHEW

NPI: 1053842195 · GRAPEVINE, TX 76051 · Dentist · NPI assigned 03/21/2017

$30K
Total Medicaid Paid
2,370
Total Claims
2,058
Beneficiaries
7
Codes Billed
2022-12
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 193 $2K
2023 1,464 $20K
2024 713 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 261 254 $8K
D0120 Periodic oral evaluation - established patient 266 260 $6K
D0230 Intraoral - periapical each additional radiographic image 577 316 $5K
D1206 Topical application of fluoride varnish 325 316 $4K
D0220 Intraoral - periapical first radiographic image 371 354 $4K
D0272 Bitewings - two radiographic images 108 105 $2K
D0603 462 453 $0.00